Form Boe-400-Lrr Draft - Fillable Renewal Application For Retailer'S Cigarette And Tobacco Products License (Korean) Page 3

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BOE-400-LRR (S2) REV. 6 (4-13)
캘리포니아주
BOARD OF EQUALIZATION
2003년 제정 캘리포니아 담배 및 연초제품 라이센스법
스케줄 A – 소매업체의 사업 장소 갱신
계정 번호:
소유주 성명:
기간:
A
B
C
D
E
사업체 이름
사업장 주소
전화번호
이메일 주소
담배 또는 연초제품이
(아래에 없을 경우 기재하시오)
(지역번호 포함)
이 장소에서 판매될
경우 "1"을 입력하시오
필요한 전체 라이센스의 수:
CLEAR
PRINT

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